Michelle Lee Dutra, BS, DS PCAS
Specialist in Taunton, MA. Individual provider (NPI-1).
NPI number1780943175
StatusActive
Last updated in NPPESMay 7, 2012
Details
- NPI
- 1780943175
- Entity type
- Individual (NPI-1)
- Name
- Michelle Lee Dutra
- Credential
- BS, DS PCAS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 7, 2012
- Last updated
- May 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
68 Allison AveTaunton, MA 02780-6958
Phone 508-880-0202
Mailing address
143 Rocky Meadow StMiddleboro, MA 02346-3011
Phone 508-245-5146
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All 8 Specialist providers in Taunton · All 1,917 providers in Taunton
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